MEDICARE: MR. JOSE M ARIAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	35955	KY
2	207T00000X	Neurological Surgery Physician	DR.0072591	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000388452	OTHER	KY	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992708663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSE M ARIAS MD

Provider Business Mailing Address
First Line	:	PO BOX 172263
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80217-2263
Country	:	US
Telephone Number	:	888-987-7975
Fax Number	:	405-792-8910

Provider Business Practice Location Address
First Line	:	799 E HAMPDEN AVE STE 310
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2766
Country	:	US
Telephone Number	:	720-441-4021
Fax Number	:	720-360-1195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/13/2024

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Directions to “ MR. JOSE M ARIAS MD” Practice Location

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